18 Week Referral to Treatment Quiz

Test yourself on the 18 Week Referral to Treatment Rules and National RTT Status Codes.

Answer the questions below, click on ‘Submit’ and check your score.

Quiz

1) What does RTT stand for?

Reason to Treat

Receipt of Treatment

Referral to Treatment

Right to Take

2) If a patient is still waiting to receive First Definitive Treatment, what is the correct terminology?

Clock start

Clock ticking

Clock nullified

Clock paused

3) A patient agrees a date for their first Outpatient appointment and a confirmation letter is posted but then the patient fails to attend. Which National RTT Status Code applies?

30 - First definitive treatment

33 - Patient did not attend very first appointment

34 - Decision not to treat

35 - Patient declined offered treatment

4) A patient requires an Endoscopy (planned procedure) every 12 months.
The patient is due to have their planned procedure on 6th January, but there are no appointments available until after this date.
Which RTT Status Code should be entered onto PAS on 6th January?

10 - First activity

34 - No treatment required

90 - After treatment

20 - Subsequent activity

5) At what point does a patient breach the National 18 Week Incomplete RTT Standard?

The day after their 18 Week RTT due date

On the date that the decision to add the patient to a waiting list is made

6) A patient is referred to the Hospital on 02/11/2015.
The patient is seen in clinic on 30/11/2015 and treated.
The patient is given a follow up appointment for 05/01/2016 and reports that the condition has not resolved.
The Consultant and the patient decide to treat the condition with surgery and the patient is added to the waiting list.
Which RTT Status Code would you enter into your PAS after the appointment on 05/01/2016?

90 - After treatment, first definitive treatment occurred previously

20 - Subsequent activity

98 - Not applicable to an RTT pathway

10 - First activity in a Referral to Treatment period or subsequent different treatment

7) Clinician at Trust A refers a patient onwards to Trust B for treatment, however, an Inter Provider Transfer Form is not received at Trust B with the referral.
You are at Trust B, what should you do when you receive the referral?

Not accept the referral and send it back to Trust A

Put the referral on the system, chase the Inter Provider Transfer Form but not give the patient an appointment until it is received

Give the patient an appointment for as soon as possible and chase the Inter Provider Transfer Form

8) When a period of active monitoring has ended and the patient is ready to commence to treatment, how long does the Trust have to treat the patient?

18 Weeks from the new clock start after active monitoring

The patient isn't on an 18 Week pathway

18 Weeks from the date that the patient was placed into active monitoring

18 Weeks from their very first referral into the Trust

9) A patient is referred to the Hospital by their GP.
At the Outpatient appointment a decision is made that that the patient needs a diagnostic test which will help the Consultant and the patient to make a decision as to the next course of action, in the meantime the patient is given an injection to help with pain relief.
The patient will be seen back in Clinic in two months time with the results of the test to discuss treatment.
What National RTT Status Code would you enter into PAS after the Outpatient appointment?

32 - Hospital initiated active monitoring

30 - First definitive treatment

20 - Subsequent activity

10) A patient was referred to the Hospital, seen and sent for a diagnostic test.
Following the test a decision was made that the patient had a condition in both hands.
The patient was added to the waiting list to treat the right hand first.
The patient had the surgery and was then reviewed in clinic.
Today the patient is seen in clinic and is ready to have surgery on their left hand.
Which outcome should be selected on the Clinic Outcome Form today?

10 - First activity in Referral to Treatment period or subsequent different treatment (e.g. second eye)

20 - Subsequent activity

30 - Start of first definitive treatment

90 - After treatment (e.g. any activity after first definitive treatment has occurred)